Greenglo
NDC Package 17238-920-11

View Billable Units, 11-Digit Conversion Format, and RxNorm mappings

Package Information

This product is EXCLUDED from the official NDC directory because the listing data was inactivated by the FDA.

Greenglo is for use as a diagnostic agent when superficial corneal or conjunctival tissue change is suspected. Marketed by Hub Pharmaceuticals, Inc., this product is identified by NDC 17238-920.

Identification & Billing

NDC Package Code
17238-920-11
Package Description
100 PACKET in 1 BOX / 1.5 mg in 1 PACKET (17238-920-99)
Product Code
11-Digit Billing Format
17238092011
Billing Unit
EA - Billing unit of "each" is used when the product is dispensed in discreet units.
Units Per Package
1 EA

Clinical Specifications

Proprietary Name
Greenglo
Dosage Form
-
Usage Information
For use as a diagnostic agent when superficial corneal or conjunctival tissue change is suspected.

Regulatory & Marketing

Labeler Name
Hub Pharmaceuticals, Inc.
Marketing Category
UNAPPROVED DRUG OTHER - An unapproved drug product in a marketing category that is not reflected on a particular list.
Start Marketing Date
04-01-2012
Listing Expiration
12-31-2025
Exclude Flag
I
Sample Package
No

Hierarchy Structure

Code Lineage

The NDC Directory contains ONLY information on final marketed drugs submitted to FDA electronically by labelers. A labeler might be a manufacturer, re-packager or re-labeler. The product information included in the NDC directory does not indicate that FDA has verified the information provided by the product labeler. Assigned NDC numbers are not in any way an indication of FDA approval of the product.

* Please review the full disclaimer at the bottom of this page.

Frequently Asked Questions

What is the distribution configuration for this product package?

The code 17238-920-11 identifies a specific commercial package of 100 packet in 1 box / 1.5 mg in 1 packet (17238-920-99) of Greenglo, labeled by Hub Pharmaceuticals, Inc.. This product is billed for "EA" each discreet unit and contains an estimated amount of 1 billable units per package. This is formulated for use and contains as the active substance.

Is this product currently listed with the FDA?

This product code is currently listed as inactive or excluded from the primary directory. It was introduced to the market by Hub Pharmaceuticals, Inc. on April 01, 2012. The current certification is valid through December 31, 2025.

How is this Hub Pharmaceuticals, Inc. product billed for insurance claims?

For medical billing and reimbursement, this package follows the 11-digit CMS format: 17238092011. Quantities are measured in per "each", products billed on a per each basis are usually products dispensed in discreet units.. There are 1 total billable units per package. The table below illustrates the segment conversion from the 10-digit labeler code to the 11-digit provider format.

11-Digit Code Conversion

Billing payers usually require a 5-4-2 segment configuration. Below is the conversion from the 10-digit package format to the 11-digit billing format:

10-Digit Format (5-3-2)
17238-920-11
11-Digit CMS (5-4-2)
17238-0920-11

Note: The zero is added to the Product segment to maintain the 5-4-2 structure.